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South Carolina rates for HCPCS 81255

HEXA (hexosaminidase A [alpha polypeptide]) (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S)

Facilitymedian $72 · 10th–90th $36–$2450%10%10th90th$72Professionalmedian $39 · 10th–90th $32–$540%20%40%10th90th$39$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $72.44 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $38.90 / $53.70
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $338.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $72.44 / $117.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $154.88 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $26.30 / $165.96
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $48.98 / $218.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $51.29 / $61.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $30.90 / $51.29